Carcinoma of the Paranasal Sinuses

With the current concept of the clinical scope of practice of the dental practitioner, where he or she is not just task to maintain the health of the gums and teeth of patients but of the entire oral cavity and its surrounding structures, it is utmost importance thatthe dentist must also be aware of malignant lesions involving the sinuses specially since the maxillary sinus is considered the largest among the three sinuses within the oral and maxillofacial region.

It must be remembered that the prognosis an the survavility of patients with carcinoma of the paranasal sinuses depends so much on the early diagnosis of such malignancies since these are areas that is hardto examine with direct clinical visualization. With that in mind, the dental practitioner can playb an important role in a multidisciplinary management, by being able to discover early signs and symptoms of such condition so that early referral and management can be started to give our patients a much better chance of survival.

It is important to know the anatomical considerations of the sinuses, radiograohic imaging and early signs and symptoms.

By:
Eliezer B Blanes, DMD
Fellowship Training in Oral and Maxillofacial Surgery, National Taiwan University Hospital
Fellow Philippine College of Oral and Maxillofacial Surgeons
Asian Association of Oral and Maxillofacial Surgeons
Member International Association ofOral and Maxillofacial Surgeons
Fellow, International College of Oral Implantologists

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